Comprehensive Chromosome Screening

The advantages of comprehensive chromosome screening (PGS/PGT-A/CCS) in women of an advanced maternal age

Women currently seek guidance on reproduction at a much older age than they did some years ago. As a result, amongst the women who undergo fertility treatment, there is a significant group of women of an advanced age and their prognosis is poorer. This is a huge challenge for reproduction specialists. […]

2018-09-06T09:36:01+02:007 de September de 2018|0 Comments

Should embryos with chromosomal mosaicism be rejected?

When good quality embryos do not implant correctly or lead to pregnancy loss, in vitro fertilisation (IVF) does not provide us with the results we had hoped for. This is often because the embryo is a carrier of abnormal chromosomes. Fortunately, in our clinic, we have access to the very latest in embryo chromosome diagnosis techniques such as array CGH and next generation sequencing (NGS). We can use this technology to detect abnormalities in the embryo that will cause pregnancy loss or that will lead to the birth of a child with chromosomal abnormalities such as Down’s Syndrome, also known as trisomy 21. As such, we can use these techniques to select and transfer the embryos with the greatest chance of leading to the birth of healthy child. […]

2018-03-26T17:47:29+02:0025 de August de 2017|0 Comments

Why does embryonic arrest sometimes happen during in vitro development?

Many factors can intervene in arrest processes during embryo development which mean cell division is detained and, therefore, it is not possible to implant the embryo in the mother’s uterus and bring about a pregnancy.
In the first instance, the conditions for development are essential.  Embryos that develop in vitro are subjected to a number of artificial conditions that do not exist in vivo and which will always be less than optimum. Embryos which were apparently viable can suffer embryonic arrest. Huge efforts have been made over the last few years to try and mimic what happens inside the mother and replicate those conditions in laboratory processes.  Most of all, the concentration of oxygen in incubators has been reduced, going from 20% down to 5%. The composition of the culture means has also been improved. This, along with exhaustive monitoring of pH and osmotic concentration, means that we can routinely carry out prolonged embryo development up to blastocyst stage in order to achieve improved embryo selection and increase pregnancy rates. […]

2018-03-26T18:18:33+02:0019 de August de 2016|2 Comments

Reduced mobility and fertility

Reproduction issues always need to be dealt with with a degree of sensitivity. When there is also a disability within the couple, the emotional side of things calls for even greater care and steps should be taken in order to deal adequately with any implications the disability in question has from a medical point of view.
In 2006, the United Nations (UN) published guidelines on the rights of people with reduced mobility. These guidelines indicate disabled people’s rights across all levels of society and include the right to have children and access to sexual health.
At Instituto Bernabeu, we aim to comply with the aforementioned guidelines and provide our patients with the means and solutions they need and which adapt to the circumstances of each physical disability. This covers disabilities resulting from a genetic condition (hereditary), disease or an accident and, from a fertility point of view, each case is given personalised treatment. […]

2016-08-04T12:57:51+02:008 de July de 2016|0 Comments

Comprehensive Chromosomal Screening (PGS/PGT-A/CCS): More reliable and less damaging for embryos

The necessary information for an adequate development of human beings is contained in some “books” called genes; they are written in an “ink” called DNA. Our total number of genes is found in the 46 chromosomes that we inherit from our parents, and it should have no excesses or deficiencies, since these could cause serious diseases and malformations, and even put our life in danger.
Human embryos have a high rate of chromosomal alterations, especially in the case of couples with fertility problems, such as recurrent miscarriages and implantation failures. For this reason, when we are in the In Vitro Fertilisation (IVF) laboratory with a couple’s embryos, we already know it is very likely that many of them are chromosomally abnormal.
Only embryos with no excesses or deficiencies in their DNA have the capacity to produce a healthy newborn. Therefore, by identifying and selecting an embryo with a full chromosome count, we manage to guarantee that the embryo has maximum capacity to produce a healthy child. […]

2018-05-31T14:11:03+02:0024 de December de 2015|0 Comments
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